Abstract
Cowden syndrome is a disease associated with an increase in breast cancer susceptibility. Alleles in PTEN and other breast cancer susceptibility genes would be responsible for ∼25% of the familial component of breast cancer risk, BRCA1 and BRCA2 being the two major genes responsible for this inherited risk. In order to evaluate the proportion of high-risk French Canadian non-BRCA1/BRCA2 breast/ovarian cancer families potentially harboring a PTEN germline mutation, the whole coding and flanking intronic sequences were analyzed in a series of 98 breast cancer cases. Although no germline mutation has been identified in the coding region, our study led to the identification of four intronic variants. Further investigations were performed to analyze the effect of these variants, alone and/or in combination, on splicing and PTEN protein levels. Despite suggestive evidence emerging from in silico analyses, the presence of these intronic variants do not seem to alter RNA splicing or PTEN protein levels. In addition, as loss of PTEN or part of it has been reported, Western blot analysis has also been performed. No major deletion could be identified in our cohort. Therefore, assuming a Poisson distribution for the frequency of deleterious mutation in our cohort, if the frequency of such deleterious mutation was 2%, we would have had a 90% or greater chance of observing at least one such mutation. These results suggest that PTEN germline mutations are rare and are unlikely to account for a significant proportion of familial breast cancer cases in the French Canadian population.
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Abbreviations
- BRRS:
-
Bannayan-Riley-Ruvalcaba syndrome
- CD:
-
Cowden disease
- Dr :
-
Dario rerio
- EBV:
-
Epstein-Barr virus
- EST:
-
Expressed sequence tag
- Gg :
-
Gallus gallus
- Hs :
-
Homo sapiens
- MAF:
-
Minor allele frequency
- Md :
-
Monodelphis domestica
- Mm :
-
Mus musculus
- PDZ:
-
PSD-95/Dlg/ZO-1 domain
- PEST:
-
Proline, glutamic acid, serine, and threonine domain
- Pt :
-
Pan troglodytes
- RPA:
-
Ribonuclease protection assay
- Tr :
-
Takifugu rubripes
- WT:
-
Wild type
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Acknowledgments
The authors are indebted to the participants and their families for their generosity and providing DNA samples. We would like to thank Dr Martine Dumont, Gilles Leblanc, Carolle Samson and Martine Tranchant for sample management, mutation screening, and skillful technical assistance as well as Claire Brousseau, Marie-Andrée Lajoie, Pascale Léger, Hélène Malouin and Josée Rhéaume, for genetic counselling and clinical data management at the Cancer Genomics Laboratory. We thank Anne-Marie Moisan and Lucie Larouche for MLPA analyses. A special thank to Mélanie Houde for skillful laboratory assistance. We also appreciate advice received from ethics committees. This work was supported by the Canadian Institutes of Health Research (CIHR) and Institute of Cancer and Institute of Gender and Health for the INHERIT BRCAs research program, the Fonds de la Recherche en Santé du Québec (FRSQ)/Réseau de Médecine Génétique Appliquée (RMGA), the Canadian Breast Cancer Research Alliance and the CURE Foundation. F. G. is recipient of a studentship from Fondation René Bussières, and F. D. is a recipient of a Research Career Award in the Health Sciences from CIHR/Rx&D Health Research Foundation.
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Other members of INHERIT BRCAs involved in this study are listed in Appendix 1.
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Peter Bridge, Molecular Diagnostic Laboratory, Alberta Children’s Hospital, Calgary, Canada.
Yann Joly, Centre de recherche en droit public, Montreal University, Montreal, Canada.
Bartha Maria Knopper, Chaire de recherche en droit et médecine, Centre de recherche en droit public, Montreal University, Montreal, Canada.
Jacques Simard, Canada Research Chair in Oncogenetics, Cancer Genomics Laboratory, Oncology and Molecular Endocrinology Research Centre, CHUQ, Pavillon CHUL and Laval University, Québec, Canada.
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Guénard, F., Labrie, Y., Ouellette, G. et al. Germline mutations in the breast cancer susceptibility gene PTEN are rare in high-risk non-BRCA1/2 French Canadian breast cancer families. Familial Cancer 6, 483–490 (2007). https://doi.org/10.1007/s10689-007-9151-y
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DOI: https://doi.org/10.1007/s10689-007-9151-y